Job Description

Optum AZ is seeking an Advanced Practice Quality Champion to join our team in Prescott, Arizona. Optum is a clinician-led care organization that is changing the way clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
The Advanced Practice Quality Champion (APCQC) will serve as a quality champion to ensure employed clinics reach 5 + star on all HEDIS measures across all clinics. They will assist in supporting process improvement projects aimed at improving patient outcomes as measures by HEDIS measures, CAPHS, and HOS.
This position is 90 percent clinical outpatient and 10 percent quality administrative tasks with no direct reports. The administrative work is done during work hours in clinic. The administrative time will be a total of 4 hours a week, that can be in two 2-hour blocks or one 4-hour block.
Position Highlights & Primary Responsibilities:

• Improving HEDIS measures across assigned clinics in Arizona
• Supporting assigned clinics on HEIDS action plans
• Collaborating with Value-Based Governance Committee on initiatives
• Working on assigned care gaps for assigned clinics
• Collaborating with physician leaders to support improvements in patient outcomes
• Participates in developing and implementing organization specific initiatives around coding, documentation, HEDIS, and CAHPS/HOS
• Participates in monthly meetings with physician and operations leadership
• Participates in various committees as assigned
• Develops and promotes organization's culture
• Active contributor on clinic team huddles
• Performance is measured by HEDIS/CAHPS/HOS improvements in assigned division and/or staying on glidepath to end of year goals on these metrics
• Performs all other duties as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

• Must have an active and unrestricted medical license in the State of Arizona or ability to obtain prior to employment
• National Nurse Practitioner certification through AANC or AANP, or Physician Assistant national certification through NCCPA
• BLS must be up to date
• 1+ years of experience in outpatient primary care medicine
• Demonstrated appropriate leadership potential
• Knowledge of primary care operations, consensus building, and collaborative ability
• Knowledge of HEDIS measures, CAHPS, and HOS
• Knowledge of Optum cultural values

Preferred Qualifications:

• Experience in medical utilization management, medical quality assurance, quality improvement techniques, risk management, and compliance

The salary range for this role is $104,500 to $156,000 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with al minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Skills Required